Tanaye Marie Carroll-Maez, P.T.
Individual provider Active NPI Physical Therapist · Raton, NM
NPI 1306193024 · NPPES record last updated Aug 13, 2012
Key facts
- NPI
- 1306193024
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 4182 (NM)
- Practice address
- 160 Hospital Dr
Raton, NM 87740-2002 - Phone
- (575) 445-0111
- Fax
- (575) 445-0112
- NPI assigned
- Aug 13, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4182 | NM | Yes |
Addresses
Primary practice location
160 Hospital Dr
Raton, NM 87740-2002
Mailing address
160 Hospital Dr
Raton, NM 87740-2002
Phone (575) 445-0111
Other providers in Raton, NM
- Michael Lynn Brown
- Kayce L Bustos
- Charles James Buttram Jr.
- Cardinal Path Wellness LLC
- Debra Anne Carlisle
- Anna Caruana
- Lee C Caruana
- Connie Casias
- Casita Alegra LLC
- Rick Castellini
All providers in Raton, NM · Physical Therapist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.